THOMAS C MCDONALD (MD) – Internal Medicine Physician, NPI 1124098488
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,131 EMERGENCY MEDICINE in TN
Provider Addresses for THOMAS C MCDONALD (MD)
270 W Church St
Suite A
Lexington, TN 383512077
Phone: (731) 968-9965
Fax: (731) 968-1940
Type: Location
2545 N Washington Ave
Brownsville, TN 380121610
Phone: (931) 289-4211
Type: Location
5001 E Main St
Erin, TN 370614115
Phone: (336) 944-6420
Type: Location
200 W CHURCH ST
LEXINGTON, TN 383512038
Phone: (731) 968-3646
Fax: (731) 968-1870
Type: Location
270, West Church Street, Lexington, Henderson County, Tennessee, 38351, United States
SUITE A
LEXINGTON, TN 383512077
Phone: (731) 968-9965
Fax: (731) 968-1940
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Lilly USA, LLC ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-11-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031113000353 | I | Emergency Medicine | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 803 | 34 | $0 |
| 97530 | Therapy procedure using functional activities | 737 | 45 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 610 | 230 | $0 |
| 97116 | Therapy procedure for walking training, each 15 minutes | 358 | 41 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 290 | 248 | $0 |
Insurance plans in this area (ZIP 38351)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | TN | 85610 | Blood test, clotting time | 118 | 13 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | IL | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| General Surgery | OH | |
| Internal Medicine | TX | |
| Family Practice | VA | |
| Internal Medicine | TN | |
| Family Practice, Emergency Medicine | TN |
Reviews
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